Local Agency Program Supplemental Agreement a/3 -� 822'1
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525-010-32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGE ANT
17
Page 1 of 3
SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN)
1 D617-029-B -
CONTRACT NO. FEDERAL AWARD DATE
G0K84 - 3/24/17
FPN LOCAL AGENCY DUNS NO.
435478-1 _ _ _ 02-054-6289
The City of Miami Beach = desires to supplement
the original Agreement entered into and executed on April 7th,2017 as identified above. All
provisions in the original Agreement and supplements, if any, remain in effect except as expressly modified by this
supplement.
The changes to the Agreement and supplements, if any, are described as follows:
PROJECT DESCRIPTION
Name Safe Routes to School North Beach Elementary and Nautilus Middle school
Length N/A
Termini N/A
Description of Work:
Safe Routes to School North Beach Elementary and Nautilus Middle School
Reason for Supplement and supporting engineering and/or cost analysis:
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525.010-32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT
ADJUSTED EXHIBIT B SCHEDULE OF FUNDING
FPN Page 2of3
435478-1 .
FUNDING
TYPE OF WORK
By Fiscal Year PREVIOUS TOTAL ADDITIONAL CURRENT TOTAL TOTAL(AGENCY TOTAL(STATEB
PROJECT FUNDS PROJECT FUNDS PROJECT FUNDS FUNDS FEDERAL FUNDS
Planning
FY:
FY:
FY:
FY:
FY: . _ ,
FY:
Total Planning•Cost - $0.00 _ S0.00 _ S0.00 - - S0.00 , 30.00
-Project Development& l -
Environment(PD&E) ,
FY:
FY: -
FY: -
FY:
FY: -
FY:
Total PD&E Cost S0.00 - $0.00 : _5000 $0.00 - $0.00
Design
FY: _
FY: _
FY:
FY:
FY: -
FY: i. .
_. - Total Design Cost _. $0.00. .$0.00 . _, $0.00 $0.00 $0.00
Right-of-Way -
• FY: .
FY:
FY: •
FY:
FY:
FY:
Total Right-of-Way Cost $0.00 $0.00 ' S0.00 S0.00 $0.00
Construction
FY: 2016-2017 $81,047.00 S81.047.00 $81,047.00
` FY: 2018-2019 $8,105.00 $8,105.00 , $8.105.00
FY: 2018-2019 $25,052.00 $25,052.00 $25,052.00
FY: -
FY: _ .
FY:
Total Construction Cost $81,047.00 $33.157.00' $114,204.00 $25,052.00 _ $89.152 00
Construction Engineering and -
Inspection(CEI)
FY: 2016-2017 $8,105.00 . $8,105.00 $8,105.00
FY: 2018-2019 ($8,105.00( ($8,105.00) - - (58.105.001
FY:
FY: ,
FY:
FY: - ..
Total CEI Cost S8.105.00 (S8.105.00). S0.00 50.00 $0.00
Total Construction&CEI Costs 1$89,152.00 $25,052.00 $114.204.00 $25,052.00 $89,152.00.
TOTAL COST OF THE $89,152.00 $25,052.00 $114,204.00. $25,052.00 - $89,152.00
PROJECT
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525-010-32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEDENT
Page 3 of 3
IN WITNESS WHEREOF,the parties have executed this Agreement on the date last ascribed herein.
AGENCY City of Miami Beach STATE OF FLORIDA
DEPARTMENT OF TRANSPORTATION
By: By:
_
Name: s ,�,A
.1y)1 • /fit®ro i Name://40.0 I gesdvneS ,
Title: ni QIP Pr. Title: Dicta' of Tatnrpor`{'a-1 iD� �
l�! Date: a2 �4 l�q
Legal Review:
\�-L 411
APPROVED AS TO
FORM& LANGUAGE cl
&FOR EXECUTION 3 I b
Dole
City Attorney 1v
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FIDOT OWPB -Federal Aid Management Reports;Electronic Signatures Page 2 of 3
1/28/2019 Florida Department of Transportation
Federal Authorization Management
System
Notice of Approved Modification
to Federal Project Agreement
from Federal Highway Administration
Federal Aid Project Number D617 029 B State Project Number:435478 1 58 01
The Project Agreement for the above-referenced project entered into between the undersigned parties and executed by the
Division Administrator on 3/20/2017 is hereby modified as follows:
Project Location:SAFE RTS.TO SCHOOL N.BEACH ELEMENTARY&NAUTILUS MIDDLE
SCHOOL;PEDESTRIAN SAFETY IMPROVEMENT;CONSTRUCTION;LAP
Revised
Revised Federal Funds Revised
Urban/ Revised Federal Under Advanced
Dist.Appr. FAIN With Total Cost Share AgreementConstruction
MIAMI-FT
LAUDERDALE-
06 M30112D617029M301 WPALM RCI 94,911.00100.0% 89,152.00 0.00
Department of Transportation
Available funds certified by: ANA ALVAREZ Date:1/18/2019
Approval recommended by: DENISE STRICKLAND Date:1/24/2019
Approved and Authorized by: FORNICHER NIXSON Date:1/25/2019
Federal Highway Administration
Approval Recommended by: Jessica Mobley Date:1/28/2019
Approved and Authorized by: Jessica Mobley Date:1/28/2019
Agreement Approved by: Kevin Burgess Date:1/28/2019
State remarks:
ZERO DOLLAR MODIFICATION TO MOVE$8,105(M301)FROM CEI TO
CONSTRUCTION.(FAC/NOMINAL RATES)=(L24E/81.93%)(M301/81.93%)
SOFT MATCH AMT=$11,752
Division remarks:
All other terms and conditions of the Project Agreement will remain in full force and effect.
This Notice of Approved Modification is not the official FHWA Project Agreement Modification for the project
designated above.The official Project Agreement Modification must be printed from FHWA's Fiscal Management
Information System(FMIS).The District Federal Aid Coordinator may obtain the Project Agreement at:
httos://fhwaapps.fliwa.dot.gov/
This site is maintained by the Federal Aid Management Office,located at 605 Suwannee Street,MS 21,Tallahassee,Florida 32399.For additional
information please e-mail questions or comments to:
Sean McAuliffe:scan.mcauliffe{Thdot.stale.fl.us or call 850-4144564
For information concerning the technical function of this site,please e-mail questions or comments to the OWPB Systems Support Office
Roger Kreisel:CO-OWPBSuproruAlot.state.fl.us or call 850-414-4636
fi le:///C:/Users/knksara/AppData/Local/Micro soft/W indows/INetCache/Content.Outlook/... 1/29/2019
To:Stephen.Anderson@dotstate.fLus
FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
GOK84
1/15/2019
CONTRACT INFORMATION
(Contract G0K84
;Contract Type: GD-GRANT DISBURSEMENT(GRANT)
Method of Procurement: G-GOVERMENTAL AGENCY(287.057,F.S.)
`Vendor Name: 'CITY OF MIAMI BEACH
iVendorID: F586000372005
I Beginning.Date of Thls Agreement 04/07/2017
[Ending Date of This Agreement: 05/23/2019
'Contract Total/Budgetary Ceiling: ct=$81,047.00
'Description: LAP-SAFE RTS.TO SCHOOL N.BEACH ELEMENTARY&NAUTILUS MIDDLE
•.SCHOOL
FUNDS APPROVAL INFORMATION
FUNDS APPROVED/REVIEWED FOR ROBIN M.NAITOVE,CPA,COMPTROLLER ON 1/15/2019
Action: Supplemental
Reviewed or Approved: APPROVED
Organization Code: 55064010612
Expansion Option: A6
Object Code: 780000
Amount ($8,105.00)
Financial Project 83593816801;1
Work Activity(FCT): 215
CFDA: 20.205
Fiscal Year. 2017
Budget Entity: 55150200
Category/Category Year. 088718/17
Amendment ID: S001
Sequence: 00
User Assigned ID: SA01
Enc Line(6s)/Status: 0002/04
Total Amount: ($8,105.00)
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To:Stephen.Anderson@dot.state.fi.us
FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
G0K84
1/31/2019
CONTRACT INFORMATION
IContract: , :G0K84
1 Contract Type: ,GD-GRANT DISBURSEMENT(GRANT)
I Method of Procurement: G-GOVERMENTAL AGENCY(287.057,F.S.)
'VendorName: 'CITY OF MIAMI BEACH
'Vendor ID: ,F596000372005
1 Beginning Date of This Agreement: 04/07/2017
Ending Date of This Agreement: 05/23/2019
(Contract TotaUBudgetary Ceiling: ct=$89,152.00
{Description: 1 LAP-SAFE RTS.TO SCHOOL N.BEACH ELEMENTARY&NAUTILUS MIDDLE
SCHOOL
FUNDS APPROVAL INFORMATION.
FUNDS APPROVED/REVIEWED FOR ROBIN M.NAITOVE,CPA,COMPTROLLER ON 1/31/2019
Action: Supplemental
Reviewed or Approved: APPROVED
Organization Code: 55064010612
Expansion Option: A8
Object Code: 780000
Amount $8,105.00
Financial Project 435478f58Q
Work Activity(FCT): 215
CFDA: 20.205
Fiscal Year. 2019
Budget Entity: 55150200
Category/Category Year: 088717/19
Amendment ID: . 'S002
Sequence: 00
User Assigned ID: SA02
Enc Line(6syStatus: 0003/04
Total Amount: $8,105.00
Pagel of 1